Individual provider Active NPI

Daphne Stamos Keshishian, MD

  • Internal Medicine Physician
  • Bethesda, MD
National Provider Identifier
1215037486
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0058112 Issued in MD
Practice address
10215 Fernwood Rd Ste 50
Bethesda, MD 20817-1174
Phone
(301) 493-9320
Fax
(301) 493-5532
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0058112 MD Primary

Addresses

Primary practice location

10215 Fernwood Rd Ste 50
Bethesda, MD 20817-1174

Mailing address

10215 Fernwood Rd Ste 50
Bethesda, MD 20817-1174
Phone (301) 493-9320

Other names 1

  • Daphne Stamos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061211000426 DC Practitioner - Internal Medicine 5092770909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bethesda Medical AssociatesGroup PAC ID 9537341128, 7 clinicians

Practice addresses (Care Compare)

10215 Fernwood Rd
Suite 50
Bethesda, MD 20817-1174
Phone (301) 493-9607

Hospital & facility affiliations

  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

Merit-based Incentive Payment System (MIPS)

Final score
91.37 of 100Reported as group
Quality
95.7
Promoting interoperability
100
Improvement activities
40
Cost
75.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0058112MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Medical Associates Internal Medicine CurrentSince May 14, 2014 Accepting new patients
Bethesda Physicians PC PastSince Jan 2, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10215 Fernwood Rd
Ste 50
Bethesda, MD 20817
Phone (301) 493-9607

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13741/brand/1/csg/1/fhir/r4
  • Direct secure messaging: daphne.keshishian.1@13741.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1215037486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 50",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171174",
            "telephone_number": "301-493-9320",
            "fax_number": "301-493-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 50",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171174",
            "telephone_number": "301-493-9320",
            "fax_number": "301-493-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMOS KESHISHIAN",
        "first_name": "DAPHNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0058112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAPHNE",
            "last_name": "STAMOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.